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NPI Code Detail

MEDICARE: JUDY MIHYUN KIM MD

MEDICARE: JUDY MIHYUN KIM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianP4664TX

General Provider Information

NPI Number : 1164622742
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDY MIHYUN KIM MD
Provider Business Mailing Address
First Line : 11839 MILL ROCK RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-2625
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4751 HAMILTON WOLFE RD STE 200
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-3458
Country : US
Telephone Number : 310-343-9401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2007
Last Update Date : 07/11/2025

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